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Summit Orthopedics, LTD

Organization Active NPI Orthopaedic Surgery Physician · Blaine, MN

NPI 1043566045 · NPPES record last updated Jun 10, 2025

Key facts

NPI
1043566045
Entity type
Organization (NPI type 2)
Primary specialty
Orthopaedic Surgery Physician 207X00000X
Legal business name
SUMMIT ORTHOPEDICS, LTD
Practice address
10230 Baltimore St NE Ste 300
Blaine, MN 55449-4674
Phone
(651) 968-5200
Fax
(651) 968-5903
NPI assigned
Jul 27, 2012
Organization subpart
No

Authorized official

Name
John Bein
Title
Cfo
Phone
(651) 968-5870

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

Practitioners 282

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 282

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20121121000517 MN DME Supplier - Multi-Specialty - Physician 8921900374 Practice locations: Blaine, MN

National Provider Directory

Tax ID family
Summitlandmark Orthopdc (32 organizations share this tax ID)

Locations

10230 Baltimore St NE
Blaine, MN 55449
Phone (651) 968-5308

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207QS0010X
Orthopaedic Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207X00000X Yes
Orthopaedic Hand Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207XS0106X
Hand Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225XH1200X

Addresses

Primary practice location

10230 Baltimore St NE Ste 300
Blaine, MN 55449-4674

Mailing address

710 Commerce Dr Ste 200
Woodbury, MN 55125-4925
Phone (651) 968-5050

Other providers in Blaine, MN

All providers in Blaine, MN · Orthopaedic Surgery Physician in Minnesota

Sources for this page

Verify at the official NPI Registry.